Professionalism: Being a professional

Jeannie Sperry, Ph.D., Associate Professor Director of Primary Care Psychology Fellowship WVU Dept of Family Medicine Morgantown

Advocacy and Psychology?

• • • Your role in society You and your patients Ethical mandate?

http://www.apa.org/ed ucation/ce/social justice-advocacy.pdf

• • • • In the exam room… – Work conditions; abuse In the community… – Smoking ban – Bike paths In the state….

– Cohabitation; Mining – Licensure National level – Health care reform – – War on Drugs Same Sex Parenting – Minimum Wage

But I’m just a student

• • I’m poor I’ll have more time later • • • • • • • Intern class: # applications # interviews # interns 2009/2010 57 17 2 2010/2011 72 17 2 2011/12 81 18 2 2012/2013 83 18 2

WVU B Med in Morgantown: In 2012, 3 of 16 ranked applicants did not match anywhere

Figure 1. APPIC Match Applicants and Internship Positions by Year, 2000-2011 in Hatcher 2011

Figure 2.

Difference Between Number of APPIC Match Applicants and Available Positions, 2000-2011. Hatcher 2011

Innovations at Local Levels

• • • •

Captured Internship

– Last 2 years include 20-hr PT internship

Partially affiliated

– students get first dibs on internship slots

Rural tracks

– Nebraska,Mississippi,Wyoming,Iowa, Washington

Telehealth supervision

Scotti, beam me in?

Funding Friends/Foes

• • Hospitals Graduate Psychology Education (GPE) – EVMS has 1 post doc + 1 intern + 2 GA • Philanthropy – Texas: 107 counties have no psychologists. Hogg Foundation for MH awarded $1.6 mil to 3 sites to form internships: 38 over 5 years • • Higher Education Policy Commission Government/insurance reimbursement

WVPA To Do List:

• • • • • WVPA task force on internships to create new and accredited existing sites/slots Post-doc experiences Rural supervisors Increase integrated primary care training Support ECP in WV

Opportunities: WV licensure law change

• • • • • Increase interest in trainees staying in WV Intrastate licensure mobility Technology for supervision and rural practice Eliminate post-doctoral requirement – 11 states (3 neighbors) no post-doc Increase federal funding for highly-trained service providers in rural areas – Graduate psychology education for IPC – National Health Service Corp Loan repayment

Psychology Licensure Law 2012

• • • • • “Psychologist” in US Undergrad degree 4 years of grad school 3000 clinical training 1 year internship (2000 hours) Post-doctoral (1 year supervised practice) • • • • “Psychologist” in WV Undergrad degree 2 years of grad school 600 hours clinical training

Same title of Psychologist with/without doctorate

Psychology Licensure Law 2012

• • • • • •

Battle is on!

WV BOE of psychologists WVPA now all doctoral on Board of Directors Lobbyist APA emergency defense fund of $29,000 Lobby day January 8, 2012 Bill proposed/died/to be resurrected January 2013 • • • • • •

Soldiers in your midst

Dr Bartee Dr Hammond Alex Brown Jes Leonard Joe Wassif Dr Sperry

They speak…

• • • Board of Examiners WVAPP http://westvirginiaapp.org/

You Spoke!

January 2012

– –

N=31 97% would consider

practicing in a rural setting and –

87% consider WV law a barrier to practicing here

• • •

October 2012

N=61

92% would consider

practicing in a rural setting

71% consider WV law a barrier to practicing here

But I don’t know how to be an advocate

Unsavory learning points:

How laws change:

• • • • • Money ($36K + 7K+ 10K) Votes (Fundraisers, etc) Money and Votes Champion/Cause Long term relationships – – – Lunches Donations Perception of Shared Goals – Resources

Legislative Rules of the Game

• • • • • Politicians change their minds Reason doesn’t prevail Nobody promised us life would be fair Status quo is HARD to shake Handshakes matter more than titles and statistics

How to be an advocate 101:

• Practice – Elevator speeches – Build relationships – BE a resource – Ask for specific help – Persist – Develop cultural competence

Build Relationship

: I know that the suicide prevention act was so important to you. I’m so glad that bill finally passed.

BE a resource

: I’m glad that APA site I sent you helped.

Elevator Speech

: As you know, West Virginia needs more psychologists trained at national standards to take care of our elderly, our veterans, and our citizens who wish to be treated in primary care and hospital settings. A change in the licensure law would help the public, and it would aid in the retention of doctoral level psychologists who are reimbursed by federal dollars for the

more than 30%

of West Virginians who are covered by Tricare and Medicare.

ASK

: Can I count on your support for the psychology licensure law revision?

Connect

: Great! And I’ll see you at the Farmers Market opening day.

Here's another great video to check out from Dr. Donald McAleer, PsyD, ABPP, from the American Psychological Association, on how to lobby legislators!

http://www.northshorepractices.com/healthLi brary.php?item=24

Enjoy!

How to be an advocate 101:

• • • • • • Donate • Money engraves your name on their memory: get over it Write Use your gifts Pass the baton Build professional community Repeat…

Advocacy made simple

• • • • Who are you?

What do you care about?

What do you want?

Why should they help?

• Princess Bride famous quote?

• http://www.youtube.co

m/watch?v=i3W5GDkgf 2w

Be an advocate for your profession

1) 2) 3) 4) 5) 6) Join WVPA Join APA Vote Donate to PsychPAC Get ready to call, write, travel, congregate...

Practice your elevator speech • • • •

Call your senator.

http://www.legis.sta

te.wv.us/Districts/district_zip/ zipmems.cfm

When I give the call to action Ask him to support the psychology licensure bill and national training standards for psychologists in WV Leave a message with your name and number and the reason you called.